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Wilkes University NSG 526 Exam 1 Clinical
Modalities In Advanced Psychiatric Mental
Health Nursing Practice Actual Questions
And Answers(Verified Answers),100%
Guaranteed Pass || Complete A+ Guide
1. A PMHNP is seeing a new patient for the first time. Which
action best establishes the therapeutic alliance?
• A) Completing a comprehensive biopsychosocial
assessment
• B) Explaining the limits of confidentiality upfront
• C) Demonstrating empathy, genuineness, and
unconditional positive regard
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• D) Prescribing an SSRI for anxiety symptoms
Answer: C
Rationale: The therapeutic alliance is built on Rogers’ core
conditions: empathy, genuineness, and unconditional positive
regard. While B is necessary, C is the foundation of the
alliance itself.
2. A patient tells the NP, “You’re the only one who
understands me. My family is useless.” The NP recognizes
this as:
• A) Transference
• B) Countertransference
• C) Splitting
• D) Idealization
Answer: D
Rationale: Idealization is a defense mechanism where the
patient attributes exaggerated positive qualities to the
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therapist. Splitting involves seeing people as all good or all bad.
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3. A patient with borderlinepersonality disorder says,
k k k k k k
k “You’re just like my mother—cold and judgmental.” This is an
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k example of: k
• A) Projectionk
• B) Transference
k
• C)Actingout k k
• D) Intellectualization
k
Answer: B k
Rationale: Transference is the unconscious redirection of feelings
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from a significant past person onto the therapist.
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4. The PMHNP feels irritated and wants to end a session
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k early with a demanding patient. This feeling most likely
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k represents:
• A) Empathic strain
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